| Theme | Cold polypectomy : Merits and demerits | |
|---|---|---|
| Title | Candidate lesions for cold resection, considering the difference from hot resection | |
| Publish Date | 2016/09 | |
| Author | Kazutomo Togashi | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Daiki Nemoto | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Masato Aizawa | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Kenichi Utano | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Daisuke Takayanagi | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Noriyuki Isohata | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Kensuke Kumamoto | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| Author | Shungo Endo | Department of Coloproctology, Aizu Medical Center Fukushima Medical University |
| [ Summary ] | Indications for cold snare polypectomy are similar to those for cold forceps polypectomy (cold biopsy) and hot biopsy. When comparing these three methods of endoscopic resection, cold snare polypectomy is considered superior, with a reduced incidence of residual lesions and delayed hemorrhage. The most suitable candidate lesion for cold snare polypectomy is a sessile lesion measuring 5 mm or less in size. Pedunculated lesions or lesions greater than 5 mm may not be appropriate because of difficulties in cutting with the cold snare. Based on colonoscopic findings, lesions suspicious for cancer or high-grade dysplasia are also not appropriate for cold snare polypectomy. | |